| NPI | 1952934952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMAH JOHNSON Owner 303-755-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2022-12-21 |