| NPI | 1871788349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB GANT President 719-636-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 2998) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 1788) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |