| NPI | 1013494897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KENNEDY Sole Member And Manager 970-255-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 35788) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |