NPI | 1598157653 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY POTTORFF Executive Director 970-347-2373 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2015-02-26 |
Last Update Date | 2020-11-23 |