| NPI | 1346530631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN L MANZANARES Clinical Psychologist 303-757-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 1070) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |