| NPI | 1346918042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA BETH ALLEN Co Owner 970-644-5013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2022-08-11 |