| NPI | 1316216310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FLORENCE HOTALING Director 970-556-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 741) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |