NPI | 1588724371 |
---|---|
Entity Type | Organization |
Authorized Contact | J G. BENEDICT, PHD President 720-466-3509 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO 177) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 177) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2012-11-26 |