| NPI | 1295365336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CARRIGAN Owner 970-964-2783 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-21 |