| NPI | 1225762495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESKINDIR WORKU Director 720-473-9692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-05-08 |