| NPI | 1891227955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY HAAS Case Manager 303-214-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |