| NPI | 1386266914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN O'DELL Director 303-717-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 251C00000X | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-03-29 |