| NPI | 1093168478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY L. RAPAPORT Dr. 719-248-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CO DR.0021427) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |