| NPI | 1851822779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA DOUGLASS Director 970-231-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: 20153028429) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-08-31 |