| NPI | 1831812874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEHAU MARTINEZ Director 970-985-2197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-10-16 |