| NPI | 1124156658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN A. BOEDING President 970-663-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 612) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CO 612) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: CO 612) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CO 612) | |
| 103TC0700X Psychologist Clinical (Licence: CO 612) | |
| 103TC1900X Psychologist Counseling (Licence: CO 612) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CO 612) | |
| 103TF0000X Psychologist Family (Licence: CO 612) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CO 612) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |