| NPI | 1073697314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY TYLER President 970-375-6224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 31498) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-02-01 |