| NPI | 1285881011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA K BLACKETER Owner 303-263-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CO 914373) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |