| NPI | 1801303490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE IRENE MAUGANS Medical Billing 970-232-5524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 1853-00) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |