| NPI | 1013147636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ELLIOTT-DESORBO Clinical Psychologist 719-332-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY-3210) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |