| NPI | 1174153068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAELYNN HILGENFELD Office Administrator 970-639-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2021-03-15 |