| NPI | 1558595181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL HATHAWAY-CLARK Clinical Psychologist 303-440-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1789) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |