| NPI | 1912531021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN ELIZABETH BEAR Owner 720-414-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2022-02-04 |