| NPI | 1013363431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAN GANT CEO 719-291-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 347C00000X Private Vehicle | |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747P1801X Technician Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2019-08-16 |