NPI | 1174158323 |
---|---|
Entity Type | Organization |
Authorized Contact | TIYA SHAFO Director 720-495-9567 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2020-03-09 |
Last Update Date | 2020-03-09 |