| NPI | 1265977714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LOUISE POFAHL CEO 970-301-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CO 1083) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2023-03-20 |