| NPI | 1790010940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY POTTORFF Executive Director 970-347-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2020-11-20 |