| NPI | 1902003676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MARK HIMES CEO 970-297-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 41631) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2015-05-15 |