| NPI | 1093917098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON CASTILLO Treasurer 719-635-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: CO AL-0012) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |