| NPI | 1609225804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESEN FREY Executive Director 719-477-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-06-07 |