NPI | 1073023974 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE DUNN CEO/Clinical Director 719-445-6744 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3567) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2018-06-16 |