| NPI | 1760753735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE LA CERTE President/Clinical Psychologist 303-369-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1230) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |