| NPI | 1548552656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH WISE President 720-708-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO 41287) |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2024-08-27 |