NPI | 1861023376 |
---|---|
Entity Type | Organization |
Authorized Contact | EYERUSALEM MENGESHA Director 303-668-1397 |
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 | 2020-02-03 |
Last Update Date | 2020-02-03 |