| NPI | 1124659503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH L SCHOFIELD CFO 719-546-0572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-04-09 |