| NPI | 1265735864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA GAIL DAWSON Nurse Practitioner 307-631-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 990045) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2013-01-13 |