| NPI | 1548388325 |
|---|---|
| Doing Business As | JEFFERSON HILLS LAKEWOOD |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ELLIS Controller 303-969-3822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 88459) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-12-22 |