| 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 |