| NPI | 1043501042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA SIMS Executive Director 970-945-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225200000X Physical Therapy Assistant | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2018-10-29 |