| NPI | 1386954576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M GRAVES President/COO 719-641-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 385H00000X Respite Care | |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2022-03-25 |