| NPI | 1821479122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA D LETO Therapist 970-618-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO NLC.0105326) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |