NPI | 1265941595 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN WHITE Owner/Member 970-281-7727 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO CSW.09924471) |
Enumeration Date | 2017-09-29 |
Last Update Date | 2017-09-29 |