| NPI | 1295991461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS BERRY Department Director 970-244-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 1538-03) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 1538-03) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1538-01) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |