| NPI | 1407399405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ENGSBERG Executive Director 719-336-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |