NPI | 1467185611 |
---|---|
Entity Type | Organization |
Authorized Contact | ADENIKE KOTUN Manager 720-365-4942 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-07-06 |
Last Update Date | 2022-07-06 |