| NPI | 1992345458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN O GILBURT Owner/Director 720-235-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |