| NPI | 1144915091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELAMAWIT SHIFERAW Director 303-594-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |