| NPI | 1518127067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO M OLIVEIRA Owner 719-632-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CO 23688) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-08-11 |