| NPI | 1851479091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P CROUCH Secretary/President 720-272-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1457) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-08-14 |