| NPI | 1407731243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CUPIT Partner 970-817-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2026-09-02 |