| NPI | 1528701703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GETAMESAY BEYENE Director 720-292-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-04-15 |