| NPI | 1346100229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WISIAN Psychiatric Nurse Practitioner 720-446-6987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2025-11-13 |