NPI | 1508055906 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARK L. JENNINGS President 719-475-8038 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 30385) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2007-10-22 |