| NPI | 1497317507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRYS RODRIGUEZ Director 720-501-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 373H00000X Day Training/Habilitation Specialist | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2020-09-02 |