| NPI | 1740777507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA STOCKTON Office Manager 970-422-1761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 4577) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2024-07-23 |