NPI | 1649910423 |
---|---|
Other Name | EVANS HOUSE |
Entity Type | Organization |
Authorized Contact | DONNA THURSTON CEO 719-666-7823 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-03-30 |
Last Update Date | 2022-03-30 |