| NPI | 1497874200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI DODDS Executive Director 970-690-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 45142) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 100889) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |