| NPI | 1063279180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN LILEY Psychiatric Nurse Practitioner 970-222-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |