| NPI | 1275221517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLOMON WOLDEGIORGIS Owner 720-492-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |