| NPI | 1215446612 |
|---|---|
| Doing Business As | MANCOS VALLEY CENTER FOR TRAUMA AND ATTACHMENT |
| Entity Type | Organization |
| Authorized Contact | DAVID COLE AWDISH Owner/Operator 970-403-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0013328) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-06-06 |