| NPI | 1275896037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LAMARR BRENT Mental Health Aide 720-324-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |