| NPI | 1629163720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LEE KAAKE President 303-234-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1212) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 1212) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-10-03 |