| NPI | 1134794548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE GONZALEZ Officer Manager 720-695-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2024-11-19 |