| NPI | 1053691212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CORY WOLFF Psychologist 303-500-3407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 3578) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2023-10-13 |