| NPI | 1083220750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANAIT REDAI Owner 720-789-1839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2021-12-13 |