| NPI | 1801078183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MICHAEL RICCI President 719-594-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist Rehabilitation (Licence: CO 416) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |