| NPI | 1518479799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA VISHNEVETSKY CEO 720-504-7859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO 50460) |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2017-10-28 |