| NPI | 1871156331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRANDON BERGQUIST CFO 970-256-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |