| NPI | 1871188458 |
|---|---|
| Doing Business As | BOULDER CENTER FOR FAMILY AND BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | EDWARD MOCKUS Owner 720-526-0579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |