| NPI | 1447956115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HY GIA PARK Managing Partner 720-209-8537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-05-01 |