| NPI | 1386081297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAJA CHISTY Owner 720-515-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME103602) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME109705) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-09-09 |