| NPI | 1982203535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUHAMIN KUMSA Director 720-882-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2023-05-04 |