| NPI | 1255788402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRON NICKERSON Executive Director 719-687-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2050X Respite Care, Respite Care Camp (Licence: CO r47606) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |