NPI | 1215414883 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT IRA WINER President 720-369-8344 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO 46748) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO 46748) |
Enumeration Date | 2018-07-25 |
Last Update Date | 2018-07-25 |