| NPI | 1083764443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANE JOLLON Executive Director 970-247-5702 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-06-11 |