| NPI | 1861637829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY ANNE SHATTUCK Intake And Assessment Therapist 970-336-4908 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |