| NPI | 1962581140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WARNER WARNER Director 303-440-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CO AL-0094) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO AL0094) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |