| NPI | 1942903562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-03-23 |