| NPI | 1578744017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MOON Managing Member 303-715-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CO 42593) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2023-08-31 |