| NPI | 1225223126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON CRUM Billing Coordinator 719-203-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: CO 1546288) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: CO 1546288) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2022-01-31 |