Individual provider · Type 1 NPI
Daniel Little
Mental Illness Community Based Residential Treatment Facility · Boulder, CO
NPI number
1124497268
Active
Practice location
3764 Silverton Street
Boulder, CO 80301
Mailing address
670 Town Center Dr Unit 416
Newport News, VA 23606-4474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1124497268
Daniel Little's National Provider Identifier is 1124497268, issued on Sep 18, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Boulder, CO. The record was last updated on Sep 18, 2015.