| NPI | 1124543087 |
|---|---|
| Other Name | MHHCS@ CEBT COLORADO SPRINGS/WIDEFIELD |
| Entity Type | Organization |
| Authorized Contact | NANCY CARLSON President 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |