| NPI | 1902383003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY TOLINSKI Director 303-986-4587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO Psy.0004619) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002272) |
| 225X00000X Occupational Therapist (Licence: CO 1550) | |
| 225X00000X Occupational Therapist (Licence: CO 3555) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CO 0002121) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2019-06-11 |