NPI | 1114456001 |
---|---|
Entity Type | Organization |
Authorized Contact | TREVOR GRAHAM Psychologist 303-309-0474 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3204) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2022-07-21 |