| NPI | 1578920997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FRANCES PETERSON Speech Language Pathologist 303-330-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CO 1226) |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2022-02-21 |