| NPI | 1962237289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE LYNN ODUEKE Director Of Revenue Cycle 970-683-2083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |