| NPI | 1982853073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A LAUREN Clinical Director 970-221-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 1990) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 1024531) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2012-05-24 |