NPI | 1396144358 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE LE WEYMOUTH Otr/L 970-302-3938 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CO 0002020) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2021-03-15 |