| NPI | 1417675539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINTELLA ANARTICA RILEY Nurse Practitioner 720-802-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-09-22 |