| NPI | 1033067400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD TRACY IGNAT Clinical Director 720-697-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-20 |
| Last Update Date | 2026-03-20 |