| NPI | 1457716367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE STAHL Chief Executive Office 970-242-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |