NPI | 1154169662 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHELLE AURA POWER Owner 719-287-4782 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry |
Enumeration Date | 2024-07-18 |
Last Update Date | 2024-07-18 |