| NPI | 1063423283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY WAYNE FRIEDER Overseer 303-355-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 29005) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2022-07-21 |