| NPI | 1942906656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA TANN Owner / Practitioner 720-432-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-08-04 |