| NPI | 1093819567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ANDREW SEIDEL President 303-377-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2511) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-04-26 |