NPI | 1336719178 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA MARIE GRANDI-NIKANDER Owner 303-444-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 207Q00000X Family Medicine |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-06-24 |
Last Update Date | 2021-08-17 |