| 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 |