NPI | 1396577177 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNE MARIE THEOBALD Owner 720-724-3668 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-08-19 |