| NPI | 1780090910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BENJAMIN HARRIS Chief Of Operations 719-888-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 284300000X Special Hospital |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2023-05-18 |