| NPI | 1225603079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSIGE MEKONNEN Director 720-298-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |