| NPI | 1245959956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN KENYON Psychiatric Nurse Practitioner 970-987-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-12-03 |