OrganizationActive
Portville Group
NPI 1821633702 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Denver, CO
Provider details
- NPI number
- 1821633702
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Portville Group
- Authorized official
- Yusuff Kazzim, Chief Executive Officer
Mailing address
5568 Hannibal Ct
Denver, CO 80239-5696
Registry dates
- Enumerated
- 2019-11-14
- Last updated
- 2020-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.