| NPI | 1437632940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L BROWN Co Owner 719-659-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2020-01-07 |