| NPI | 1053589218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK DAMON WARD Clinical Director 303-458-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 4654) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |