| NPI | 1508683020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK J. GALLEGOS Financial Director 719-589-5135 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |