| NPI | 1972800787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS CHRISTINE GUNDERSEN Owner 303-717-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 30452) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2012-10-09 |