| NPI | 1336283985 |
|---|---|
| Other Name | CRESCENT HOME |
| Entity Type | Organization |
| Authorized Contact | NANCY V. SAIZ Director 719-634-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging (Licence: CO AL-0984) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO AL-0984) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |