| NPI | 1063636256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MIZEN Executive Director 970-879-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy |
| 171WV0202X Contractor, Vehicle Modifications | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 373H00000X Day Training/Habilitation Specialist | |
| 376J00000X Homemaker (Licence: CO 04F924) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-03-07 |