| NPI | 1790211605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TODD MCLANE President 719-205-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-05-19 |