| NPI | 1811226905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYLA EISENSTEIN Executive Director 719-634-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: CO O4C449) |
| 253Z00000X In Home Supportive Care (Licence: CO O4C449) | |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2016-10-20 |