| NPI | 1841557097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MEININGER Owner 970-379-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA AC14558) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |