| NPI | 1750113817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVIS Owner/Provider 720-448-2631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |