| NPI | 1619185832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YECHIEL KLEEN Owner President 303-333-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 30858) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: CO 1659) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-08-22 |