NPI | 1144771643 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN WILSON President 303-920-9279 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
347C00000X Private Vehicle | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2016-10-19 |
Last Update Date | 2016-10-19 |