| 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 |