| NPI | 1770607657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGHTON MARK SUYEISHI President 303-397-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1162) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |