| NPI | 1417626581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANH NGUYEN CEO 720-741-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-10-15 |