| NPI | 1154099034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BLUE Executive Director 970-420-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-21 |