| NPI | 1013789486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL GOLDSTEIN Physician Owner 970-460-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-11-15 |