| NPI | 1932502713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY R BRANNON Director 720-466-5586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2022-07-21 |