| NPI | 1942961990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LEE Executive Director 970-221-0999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-10-15 |