| NPI | 1689158511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ERNEST EDWARD MOORE CEO/Director Of Dp Operations 719-580-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2022-03-25 |