| NPI | 1356101307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM COLLINS Chief Executive Officer 970-347-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |