| NPI | 1285248419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSS MCGUIRE Operations Director 719-325-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2023-01-26 |