| NPI | 1326807223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOREEN EMMANUEL MAZALLA Executive Director 720-592-4775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-08-06 |