| NPI | 1386801017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE NOVAK Treasurer 303-875-3597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2018-06-27 |