San Juan Youth Works

NPI #1376717009 in Monte Vista, Colorado

Provider Information

NPI Number
1376717009
Entity Type
Organization
Organization Name
San Juan Youth Works
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Apr 14, 2008
Last Updated
Apr 14, 2008

Practice Location

Address
260 ADAMS ST
ZIP Code
81144-1424
Phone
(719) 852-4799

Authorized Official

Name
MICHAEL TRUITT
Title
DIRECTOR
Phone
(719) 852-4799

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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