| NPI | 1043484140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WALDERO Owner 719-543-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |