| NPI | 1053122523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE CUNNINGHAM Manager 970-846-5817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |