| NPI | 1619096294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BRUMLEY LEE Executive Director 970-567-0939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1534358) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-11-09 |