| NPI | 1215785498 |
|---|---|
| Doing Business As | SURPRISE VALLEY BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | HELEN-ELENA EMEGBAGHA Owner 719-888-7668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-11 |
| Last Update Date | 2024-05-11 |