| NPI | 1013040385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAT FOO Hipaa Officer 303-866-5871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 13363) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |