| NPI | 1154162782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JAYNE SCHAEFBAUER Cf AO 720-484-4996 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |