| NPI | 1699184416 |
|---|---|
| Other Name | WAVERLY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BROWN Executive Director 970-221-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1533947) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |