NPI | 1659054260 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ALLEN GOFF Chief Financial Officer 303-432-5164 |
Organization Subpart ? | Yes |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-08-09 |
Last Update Date | 2023-08-31 |