| NPI | 1013304369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRIC FALCON CEO/President 719-761-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0990268) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |