NPI | 1518132844 |
---|---|
Other Name | LONGMONT DIVISION |
Entity Type | Organization |
Authorized Contact | HENRY CHARLES COX President / Administrator 951-727-4303 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2008-04-28 |
Last Update Date | 2008-04-28 |