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