| NPI | 1225147119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL ADAM JOHNSON Partner/Owner 970-356-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |