| NPI | 1699639757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRI RATAZZI Director Of Resident Services 970-416-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-16 |