| NPI | 1538606710 |
|---|---|
| Other Name | COLORADO |
| Entity Type | Organization |
| Authorized Contact | MARY A PANK Paralegal 502-420-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-26 |