| NPI | 1447631643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R JENEINE STEVENSON Director 970-209-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000978) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |