NPI | 1174266340 |
---|---|
Entity Type | Organization |
Authorized Contact | TAHIRAH LOVE Director 720-590-0278 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-04-15 |
Last Update Date | 2022-04-15 |