| NPI | 1215590773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRANDON BERGQUIST CEO 970-256-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2020-01-23 |