| NPI | 1194363895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE NULK Executive Director 719-465-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care Respite Care, Physical Disabilities, Child |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2023-03-22 |