| NPI | 1114609088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANISE MACHELLE POLUMBUS Executive Director 720-300-7719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 347E00000X Transportation Broker | |
| 373H00000X Day Training/Habilitation Specialist | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |