| NPI | 1679015713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN YAPP Accounting Clerk 970-522-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CO 05O112) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2025-01-26 |