| NPI | 1467725994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA CONRARDY Finance Director 970-266-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2020-01-22 |