| NPI | 1306149760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A WHITWORTH CFO 719-785-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2022-07-08 |