| NPI | 1902945165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE LEE HINKLE Business Manager 719-583-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: CO 01980) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: CO 01980) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |