| NPI | 1508743972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLOSSOM YOUNG Director Of Residential 720-499-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |