NPI | 1124776133 |
---|---|
Entity Type | Organization |
Authorized Contact | GRANT BAESMAN CEO 303-888-7760 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2022-03-17 |
Last Update Date | 2022-03-17 |