NPI | 1750560868 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL S JOHNSON Financial Administrator 970-344-1380 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1530131) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2007-10-25 |