| NPI | 1528169117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A BRAUNSTEIN Owner 970-382-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 40471) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-06-22 |