| NPI | 1427729227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DAVID LUSTGARTEN Licensed Psychologist/Owner 720-260-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2022-12-23 |