| NPI | 1417724667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA FOMENKY Psychiatry Nurse Practitioner 720-740-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |