| NPI | 1184499675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID SCHROEDER Program Manager 970-980-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |