| NPI | 1265159883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYCOLE S VANWHYE Executive Director 970-405-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253J00000X Foster Care Agency | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |