| NPI | 1326510348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY POTTORFF Executive Director 970-347-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2020-11-23 |