| NPI | 1407293392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LUDWIN President 970-286-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2014-09-19 |