| NPI | 1447526991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB JAMES VANWINKLE Owner 719-377-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12140923) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2021-07-27 |