| NPI | 1568794949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M MARK WEXLER Clinical Psychologist 719-641-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1863) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |