NPI | 1619772852 |
---|---|
Entity Type | Organization |
Authorized Contact | JESS JOSLIN Manager, Credentialing & Payor Stra 303-731-8164 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2025-02-13 |
Last Update Date | 2025-02-13 |