| NPI | 1437527447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WAYNE LAPP Manager 720-484-4996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2016-02-26 |