| NPI | 1356574453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED LOUISE FLANAGAN Speech Language Pathologist 719-276-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: TX 104900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 185) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2012-02-24 |