| NPI | 1396035887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNA K MCCLURE Owner/Director 719-564-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CO 050615) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2015-11-19 |