| NPI | 1023627684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN KORNFELD Lead Clinician 720-912-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 111NN0400X Chiropractor Neurology | |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2022-08-10 |