NPI | 1366099020 |
---|---|
Other Name | MILE HIGH PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | MICHAEL KEITH CHISM CEO/Psychiatric Director 720-507-4779 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-08-19 |
Last Update Date | 2022-11-04 |