| NPI | 1336706456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY V ARAGON Executive Director 719-242-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 347E00000X Transportation Broker |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |