| NPI | 1588102578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK L DAVOLL Program Director 303-946-3197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |