| NPI | 1144763251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY PRIEBE Physician/CEO 719-445-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO DR.0054025) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-03-01 |