| NPI | 1659606705 |
|---|---|
| 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 |