| NPI | 1982142188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE ROY Executive Director 719-846-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 208100000X Physical Medicine & Rehabilitation | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 251B00000X Case Management | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-01-09 |