NPI | 1982348785 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA UBALLE Executive Director 720-233-5960 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-04-26 |
Last Update Date | 2022-04-26 |