| NPI | 1306004585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN GAHAGAN Owner/Director 970-926-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1803) |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2008-05-24 |