| NPI | 1164873055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DAVENPORT Executive Director/Owner 970-218-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2021-12-02 |