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 |