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 |