| NPI | 1801251137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE JACKSON Music Therapist 719-360-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |