| NPI | 1932434099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY POTTORFF Executive Director 970-347-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CO 1386-02) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2020-07-13 |