| NPI | 1902533144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH PHIRI IERVOLINO Executive Director 720-324-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-02-03 |