| NPI | 1548082209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE COOPER Director 720-333-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2025-11-11 |