| NPI | 1386275469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA M ADRIAN Executive Director 303-859-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2022-07-19 |