| NPI | 1558535146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIENNA GRANT Hr 303-723-4208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 122255) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |