| NPI | 1790041358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BURTON BOSCOE-HUFFMAN Clinical Psychologist 303-839-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 6081) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |