| NPI | 1144811357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADESOJI AJALA Owner 720-400-2706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2022-03-05 |