| NPI | 1932876216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY COLNA Owner 970-924-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-12-16 |