# HIGH COUNTRY EARLY INTERVENTION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Karen Ann Fay
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144332107
- **Authorized official:** MISS ANNA M MANCHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (928) 776-9285

## Contact information

- **Practice address:** 3105 CLEARWATER DR, SUITE B, PRESCOTT, AZ 86305-7166
- **Practice address phone:** (928) 776-9285
- **Practice address fax:** (928) 776-7753
- **Mailing address:** 3160 STILLWATER DR STE B, PRESCOTT, AZ 86305-7151
- **Mailing address phone:** (928) 776-4349
- **Mailing address fax:** (928) 776-1369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 3724 | AZ | — |
| 174400000X | Specialist | 4192 | AZ | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 252Y00000X | Early Intervention Provider Agency | 3724 | AZ | — |
| 252Y00000X | Early Intervention Provider Agency | 4192 | AZ | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | 4192 | AZ | — |
| 261QP2000X | Physical Therapy Clinic/Center | 5331 | AZ | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/08/2019