| NPI | 1164861670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S. GRAVES President 303-758-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO CO17719) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-12-03 |