| NPI | 1043407018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE REIMER Nurse Practitioner 719-530-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO CO 1119947) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |