| NPI | 1295040913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LOUIS MAHALIK Psychologist 303-724-6327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CO 2926) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |