| NPI | 1891237939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI SCHRADE Finance Director 970-522-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CO 05O104) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2025-01-26 |