| NPI | 1700494713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A BROWN Director 970-255-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2024-04-15 |