NPI | 1295241677 |
---|---|
Other Name | MOUNTAIN MIND, LLC |
Entity Type | Organization |
Authorized Contact | DEBORAH ANN YORK Owner 719-207-4455 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0102792) |
Enumeration Date | 2017-12-20 |
Last Update Date | 2022-06-17 |