| NPI | 1316758287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRAH DIANE ARCHER Owner/Provider 970-759-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2026-01-26 |