| NPI | 1972330785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYSHELL SCHRADER Billing Manager 303-412-6091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |