| NPI | 1205179397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE LYNN PARTRIDGE Manager 970-749-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 20131082321) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |