| NPI | 1215604590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JOSEPH Accountant 303-926-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |