| NPI | 1134414345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA ANN GORMAN Managing Member 719-538-6027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CO 01129463) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |