| NPI | 1376016097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA NICOLE SIMS Executive Director 970-945-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |