| Organization Name: | BOYD THERAPEUTIC |
| NPI Number: | 1255574752 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM LEE BOYD (LICENSED PROFESSIONAL COUNSELOR) |
| Mailing Address: | 7908 Gladwater Rd Peyton |
| State: | CO US |
| Postal Code: | 808316067 |
| Phone Number: | 7196515605 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2009 |
| NPI Last Update Date: | 04/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 3369 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |