NPI | 1336711761 |
---|---|
Doing Business As | CHEYENNE MOUNTAIN CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL THEODORE BERG Corp Officer 505-468-4742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 385H00000X Respite Care |
Enumeration Date | 2021-07-14 |
Last Update Date | 2021-07-14 |