| NPI | 1356135545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BRUMLEY LEE Executive Director 970-221-0999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-06-06 |