| NPI | 1932560828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LYNN ROSE Credentialing Specialist 720-515-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY4238) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2024-06-24 |