| NPI | 1871965459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EUGENE CAMPBELL Owner 720-377-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CO 2013-790671 01 sl) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |