| NPI | 1770392094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MOORE Owner 719-374-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 376J00000X Homemaker |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-01-01 |
| Last Update Date | 2025-01-01 |