| NPI | 1710464789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CHISMAR Executive Director 719-659-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |