| NPI | 1780953877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALBERT VEALS Administrator 970-828-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 25191) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |