| NPI | 1134689235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE A DIAMOND Nurse Practitioner 970-237-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2025-02-03 |