| NPI | 1508013129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HARTMAN MOORE Healthcare & System Manager 303-333-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2023-02-24 |