| NPI | 1043886385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE D HARPER Owner 720-806-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-07-26 |