| NPI | 1700290434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALLEN FRIEL Director 970-216-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 222) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |