| NPI | 1265851224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI MOE-HARTMAN President 970-381-1417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 2296) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |