| NPI | 1184107088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY POTTORFF Executive Director 970-347-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 150368) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-11-23 |