| NPI | 1316719867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI WINSLOW Director Of Insurance 970-704-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |