| NPI | 1578724845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GOLIN Licensced Psychologist 719-207-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2179) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |