| NPI | 1467221366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELAMAWIT MEKONNEN Director/Owner 720-278-3718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |