| NPI | 1457536195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE SARA BRILL Clinical Psychologist 719-633-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 897) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |