| NPI | 1316758287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRAH ARCHER Executive Director 970-759-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-01-18 |