| NPI | 1760344725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBSA IBRAHIM Owner 720-295-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-11-28 |
| Last Update Date | 2025-11-28 |