| NPI | 1699272609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARKER WILSON Clinical Director 720-335-3963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO NLC.0009718) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2018-06-16 |