| NPI | 1487810529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEVERANCE B KELLEY President Of The Corporation 303-772-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |