| NPI | 1902350127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN M WARD Office Manager 970-424-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |