| NPI | 1881190791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWIT G MEDHIN Director 303-885-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 347E00000X Transportation Broker |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-10-22 |