| NPI | 1659783116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY PRESTWOOD Owner 970-281-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO NLC.0103841) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |