| NPI | 1235760497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BURGESS CEO 303-306-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |