| NPI | 1942714753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA DURBIN Special Education Director 970-521-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |