| NPI | 1437014446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD BADR Manager 719-401-2608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208VP0000X | |
| Enumeration Date | 2025-12-22 |
| Last Update Date | 2025-12-22 |