| NPI | 1568908697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND L NOWAK Director 303-238-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |