| NPI | 1073271466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE MARIE THEOBALD Owner 720-724-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |