| NPI | 1053850933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CANNON-BALOGUN Director/Owner 720-333-0659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253J00000X Foster Care Agency | |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2024-10-21 |