NPI | 1851442545 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA K OREILLY President 970-613-4172 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1767) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2011-07-25 |