| NPI | 1912185604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA C ANDERSON Sole Proprietor./Manager 303-300-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO 37421) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |