| NPI | 1699226092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE DALTON Billing Manager 303-907-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 01044457) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |