| NPI | 1063062313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD LAFAVE Owner 720-496-9732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |