| NPI | 1245651926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELBY MACK Speech Language Pathologist 303-432-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2015-07-21 |