NPI | 1164889069 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID H KALLIS Limited Liability Corp S 303-482-7041 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0003755) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW,00000077) |
Enumeration Date | 2016-01-22 |
Last Update Date | 2020-12-03 |