| NPI | 1356917827 |
|---|---|
| Other Name | AT BOULDER COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | DEBORAH SMITH VP/General Counsel 303-436-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |