| NPI | 1578340501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DELSIGNORE Administrator 719-581-0857 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |