| NPI | 1932341088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNY STAMPS Clinical Director 970-522-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 160601) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |