| NPI | 1245762343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENLEY J ROEDER Psychiatric Mental Health Np 970-833-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 10022) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2022-04-27 |