| NPI | 1558023440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MARTIN Data Operations Coordinator 303-780-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2021-10-08 |