| NPI | 1649700790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA K. ROMANO Owner, Operater 719-371-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2018-10-23 |