| NPI | 1326506106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA SPRONG Owner 719-246-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2021-07-21 |