| NPI | 1265040117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN FABIAN Nurse Practitioner Psych/Mental Hea 970-818-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2022-02-22 |