| NPI | 1356893218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY OTERO Resedential Counselor 720-276-5834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CO 961340914) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |