| NPI | 1679025480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI WOLFE Executive Director 719-253-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |