| NPI | 1558850339 |
|---|---|
| Doing Business As | MOMENTA |
| Entity Type | Organization |
| Authorized Contact | AMANDA LEIGH OWENSBY Program Director 970-930-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 1985-01) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-07-18 |