| NPI | 1518410828 |
|---|---|
| Other Name | FOUNTAINHEAD CARE HOME |
| Entity Type | Organization |
| Authorized Contact | SAHRA O MOALIM Manager 720-936-0483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 2304C3) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |