| NPI | 1043900335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMIE L VASQUEZ Owner, Provider 303-868-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-06-06 |