| NPI | 1528676616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM VAN DERVEER Medical Director 303-260-9685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |