| NPI | 1376350231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA CERQUA Psychiatric Ap RN/Owner 720-316-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2024-12-14 |