| NPI | 1982885976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RUTH MORAN President 719-328-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) (Licence: CO MD 39135) |
| Enumeration Date | 2007-11-18 |
| Last Update Date | 2007-11-20 |