| NPI | 1326526005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY REYNOLDS President 970-646-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2024-06-03 |