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1013655737
MILE HIGH PSYCHIATRY LLC
CALABASAS, CA
NPI
1013655737
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Entity Type
Organization
Authorized Contact
MICHAEL K CHISM
CEO
720-507-4779
Organization Subpart ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2022-05-23
Last Update Date
2022-05-23
Business Address
MILE HIGH PSYCHIATRY LLC
4500 PARK GRANADA STE 202
CALABASAS, CA 91302-1666
Phone number: 720-507-4779
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Mailing Address
MILE HIGH PSYCHIATRY LLC
15355 E COLFAX AVE UNIT 111717
AURORA, CO 80042-1975
Phone number: 720-507-4779
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