| NPI | 1912174459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J SCHNEIDER Director 303-449-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 322) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 16419) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2013-07-17 |