| NPI | 1457592644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD S. TYNER President/CEO 970-749-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2013-11-15 |