NPI | 1124201637 |
---|---|
Entity Type | Organization |
Authorized Contact | JAROD B. THIELE President 303-717-1765 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1547948) |
Enumeration Date | 2007-12-07 |
Last Update Date | 2007-12-07 |