| NPI | 1902316664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONA R. O'CONNOR Executive Director 720-608-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 347E00000X Transportation Broker |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |