| NPI | 1639728199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNA AVERY Speech Language Pathologist 970-590-9241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2019-09-08 |