| NPI | 1285220772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALIRES Executive Director 719-491-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 347E00000X Transportation Broker |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2022-04-29 |