| NPI | 1053051839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA THURSTON CEO 719-666-7823 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |