NPI | 1699927749 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLIE BUCKLEY Speech Language Pathologist 970-667-4883 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CO 01085069) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2008-10-21 |