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 |