| NPI | 1528099280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES TIONGCO Owner 970-256-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 38987) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-12-02 |