| NPI | 1316654965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILYA SKOP Managing Member 720-216-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |