NPI | 1659606705 |
---|---|
Doing Business As | MOORE BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | MICHELLE RENEE WIDOWS Clinical Psychologist 303-345-3728 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6699) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3155) |
103TC0700X Psychologist, Clinical (Licence: CO 3155) | |
103TH0004X Psychologist, Health (Licence: CO 3155) | |
Enumeration Date | 2009-10-07 |
Last Update Date | 2012-06-14 |