| NPI | 1336890532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD NAEEM Manager Credentialing 720-446-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-13 |