| NPI | 1124362868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT JACKSON President/CEO 970-256-8618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2021-08-31 |