| NPI | 1205425295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MACK Member 303-817-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253J00000X Foster Care Agency | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |