| NPI | 1255732632 |
|---|---|
| Former Legal Business Name | COLORADO NEURO HEALTH & WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL BLACKBURN CEO 970-697-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2022-07-10 |