NPI | 1255461869 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL S JOHNSON Financial Administrator 970-344-1380 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1530130) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1530128) |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1530131) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |