| NPI | 1255897104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARICE RODRIGUEZ Owner 970-231-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |