| NPI | 1740420140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HICKMAN Executive Director 970-522-4549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 150153) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2021-07-15 |