| NPI | 1508401712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ROSE NEVIN-WOODS Medical Director 970-498-6719 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |