| NPI | 1124869581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURORA THRUSH Member 720-232-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-06-01 |