| NPI | 1750784633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FREA Psychologist 303-530-4972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-04-1566) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |