| NPI | 1588945885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANJA BROWN Clinical Director 719-571-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |