| NPI | 1376701730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M THARP Business Owner 970-402-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 20051340355) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2008-06-01 |