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 |