| NPI | 1962034082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE REED Owner/Caregiver 719-201-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |