NPI | 1750657482 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURI A WINSLOW Director Of Insurance 970-704-9292 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 1548-01) |
Enumeration Date | 2012-03-27 |
Last Update Date | 2023-07-13 |