| NPI | 1588028203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A RABIN Owner 303-369-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CO 20264) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO 20264) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |