| NPI | 1053913350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BARRETT Executive Director 970-402-5101 |
| 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 |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2023-07-28 |