| NPI | 1326671926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA NICOLE SIMS Executive Director 970-945-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |