| NPI | 1629483078 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | GILBERT DEVEREAUX MILBURN-WESTFALL Clinical Psychologist 303-347-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 1581) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |