NPI | 1396493367 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA TURK Owner/Provider 970-645-6228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-03-17 |
Last Update Date | 2022-07-27 |