| NPI | 1467908004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WITTENAUER Director 970-988-1689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 376J00000X Homemaker |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-01-10 |