| NPI | 1619139896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NICHOLAS COSTAS President 303-919-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: CO 1301) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |