| NPI | 1992236319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE SUDDATH Medical Director 303-444-7228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 25705) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 25131) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-07-31 |