| NPI | 1710616743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KAISER Owner 970-520-3625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |