| NPI | 1396026407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN DACRES Sole Proprietor 303-355-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: CO RXS 1451) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |