| NPI | 1619599826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARYN J QUICK Owner 720-258-5975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2021-07-06 |