| NPI | 1043818719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L YOUNG Director 970-319-8496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |