| NPI | 1417592114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA BETH ALLEN Co Owner 970-644-5013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2022-08-11 |