| NPI | 1841823994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT S GOOD Owner Of Entity 303-960-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |