NPI | 1265618318 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA ALLEN MAX President 303-347-8498 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO CO 1925) |
Enumeration Date | 2008-01-18 |
Last Update Date | 2008-01-18 |