| NPI | 1710573829 |
|---|---|
| Other Name | JEWELL PLACE |
| Entity Type | Organization |
| Authorized Contact | DAVID A GOFF Chief Financial Officer 303-432-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2024-10-24 |