| NPI | 1912394396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LU WALTON Executive Director 970-339-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |