| NPI | 1538803887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA BUSSARD Owner 970-846-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 385HR2055X Respite Care Respite Care, Mental Illness, Child |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-04-22 |