| NPI | 1366065724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA LYNN MINOR Np/Owner 719-792-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-01-20 |