| NPI | 1174198774 |
|---|---|
| Doing Business As | KMB ELEVATION HCBS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | KEELEE K. BURTCH Director 303-493-1483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 251S00000X | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2022-01-11 |