| NPI | 1447050711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY RITZMAN Sr Accountant Medicaid Mananger 303-974-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-06-19 |