| NPI | 1750046660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSION NIGUSSIE Director 720-251-5534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |