NPI | 1114460979 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISON ANN SHAPIRO President 719-963-9523 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 0991040) |
Enumeration Date | 2016-11-28 |
Last Update Date | 2016-11-28 |