| NPI | 1912389339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY LEE FRYE Executive Director 303-482-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-02-08 |