| NPI | 1235765165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA SHAW Director 720-762-2672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2021-05-13 |