| NPI | 1336753698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIE TERRANOVA Operations Director 719-540-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2025-07-21 |