| NPI | 1992373310 |
|---|---|
| Other Name | CAROL COFFEY |
| Entity Type | Organization |
| Authorized Contact | CAROL A COFFEY Owner 720-291-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2021-06-13 |