| NPI | 1982874665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD LORIN ZELLER Owner 970-494-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO DR18448) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-11-24 |