| NPI | 1962736942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A WHITWORTH CFO 719-785-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 251S00000X Community/Behavioral Health | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2022-07-08 |