| NPI | 1619479441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HOPE MITCHELL Owner 303-525-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-04-16 |