| NPI | 1033796263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE P SHAW Executive Director 719-306-9512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 373H00000X Day Training/Habilitation Specialist | |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-08-29 |