NPI | 1386186526 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACI SCHRADE Finance Director 970-522-7121 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CO 05O101) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2016-11-04 |
Last Update Date | 2021-12-02 |