| NPI | 1003024779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA THURSTON Chief Executive Officer 719-666-7823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CO 45201) |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CO 45105) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CO 45211) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CO 45212) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-03-30 |