| NPI | 1861935512 |
|---|---|
| Other Name | DESSERICH GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | GENA COLBERT CFO 303-462-6509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2021-07-28 |