| NPI | 1740409812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR CRUZ Physician 719-543-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO 23403) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-01-07 |