| NPI | 1427677194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY S RICCELLI Owner/Nurse Practitioner 720-317-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2023-09-06 |