| NPI | 1851650220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS BLEVINS Executive Director 720-837-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |