San Juan Youth Works Valid NPI

Organization · Emotionally Disturbed Childrens' Residential Treatment Facility · Monte Vista, CO

NPI

1376717009

Type

Organization (Type 2)

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facility, Emotionally Disturbed Children)

Specialty group

Residential Treatment Facilities

Taxonomy code

322D00000X

License number

1501942 (CO)

Enumerated

2008-04-14

Last updated

2008-04-14