NPI | 1669261004 |
---|---|
Entity Type | Organization |
Authorized Contact | SEBLEWENGELE M ASEFA Owner 303-601-7307 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
253J00000X Foster Care Agency | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2025-05-02 |
Last Update Date | 2025-05-02 |