| NPI | 1275939605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY TAYLOR Psychologist 720-460-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0004046) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |