| NPI | 1174815617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY MONGAN President 970-454-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CO 819) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |