NPI | 1073128476 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM COLLINS Chief Executive Officer 970-347-2120 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2020-09-11 |
Last Update Date | 2024-11-13 |