NPI | 1407681174 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL K CHISM Owner 720-507-4779 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-09-03 |
Last Update Date | 2024-09-03 |