| NPI | 1184106213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND P FREEMAN Executive Director 303-934-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |