NPI | 1164043360 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA DODDS CEO 970-494-4200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2020-04-29 |
Last Update Date | 2025-05-28 |