| NPI | 1972914265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MUELLER Owner 970-259-3952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 146800) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |