| NPI | 1023711900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |