NPI | 1598413338 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE WALL Managing Director 970-404-5872 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2022-03-11 |
Last Update Date | 2024-01-07 |