| NPI | 1245770965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAWRENCE FLEMING Owner/Operator 719-471-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 20153) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |