| NPI | 1609913011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA L BRADEN President 719-633-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 1894) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |