| NPI | 1821449497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA MARIA CRADER Physician 970-834-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 29081) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2020-01-13 |