| NPI | 1306383476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON ANDRICCI Owner 970-403-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CO 20151399514) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |