| NPI | 1356231211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MICHELLE GRAY Owner 970-769-9472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |