| NPI | 1689721730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ASH Medical Director 970-495-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1179-00) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |