| NPI | 1578159745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A GOFF Chief Financial Officer 303-432-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-18 |