| NPI | 1245582329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE KAPLAN SHEPARD Owner,LLC 303-819-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CO 989867) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |