| NPI | 1659193746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRILL MERKULOV CFO 303-521-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103T00000X Psychologist | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |