NPI | 1902273170 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID F DEIKE President 970-214-1343 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CO 27981274) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2015-08-24 |