| NPI | 1548412877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GHISELLI Manager 303-991-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 41492) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |