| NPI | 1760136345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AICHA FOFANA Director 720-382-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |