| NPI | 1609607605 |
|---|---|
| Other Name | BEHAVIORAL HEALTH SUBPART |
| Entity Type | Organization |
| Authorized Contact | CORY PHILLIPS CEO 970-249-7751 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |