| NPI | 1942431432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA WILSON Executive Administrator 303-318-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-059-042) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-08-03 |