NPI | 1225650393 |
---|---|
Entity Type | Organization |
Authorized Contact | NIJAH FUDGE Executive Director 720-318-5102 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-05-12 |