NPI | 1447059035 |
---|---|
Entity Type | Organization |
Authorized Contact | MAMADOU DIALLO Owner 720-365-0572 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-03-07 |
Last Update Date | 2025-03-07 |