| NPI | 1578816302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL JOHNSON Lmft/Financial Administrator 970-344-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |