| NPI | 1194903153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL P ALEXANDER Executive Director 970-356-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 105104) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |