| NPI | 1104124148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN GABRIELSON Director 303-693-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 45243) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |