| NPI | 1366185688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RIES Director 720-245-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |