| NPI | 1992903496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SIMAINER Director Of Clinical Services 970-874-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2025-07-21 |