| NPI | 1952843815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX LOUCKS CFO 970-875-6116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 1774-00) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2021-03-02 |