| 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 |