| NPI | 1477949170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE WESLEY DARBY Clinical And Health Psychiology 719-237-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO CO 256) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |