| NPI | 1316280365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTINE NICOLE HOEFER JACKSON Student Therapist (Extern) 720-979-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |