| NPI | 1548566383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE STANLEY WIRECKI Director 303-618-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 20856) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |