| NPI | 1194857318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBRA RACHELLE MONTOYA Clinical Director 970-484-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 44002) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |