| NPI | 1538807045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MORTIMEYER Executive Director 719-691-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |