| NPI | 1063743359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN SPANGLER Owner 719-475-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 76025) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2013-10-10 |