| NPI | 1568519320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT ELDRED Executive Director 303-776-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2251P0200X Physical Therapist Pediatrics | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-10-13 |