| NPI | 1679287890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA ISMAIL Director 720-939-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |