| NPI | 1124814132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ENCARNACION Payer Operations Manager 720-617-8438 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-07-08 |