| NPI | 1750579579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZA L YORK Licensed Clinical Psychologist 303-875-4158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2475) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 2475) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |