| NPI | 1699087452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMMY LYNN CHICOTA President 303-880-7154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 20091576903) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |