| NPI | 1396090387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SEAWELL CLEMMONS Owner/Sole Member 303-470-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 50255) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |