| NPI | 1700596608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EPHRAIM STARR Member & Chief Executive Manager 970-214-7043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |