| NPI | 1649302852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL DAVID PAINTER Executive Director 970-484-8427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 71260) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |