| NPI | 1871047746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MOHR Owner 970-254-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 99868) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |