NPI | 1407679830 |
---|---|
Entity Type | Organization |
Authorized Contact | ISIAKA OMOTOSO Director/Owner 720-492-9413 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2024-11-04 |
Last Update Date | 2024-11-07 |