NPI | 1265873558 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA YAEGER Owner/Director 719-546-6322 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2013-07-15 |
Last Update Date | 2022-04-05 |