| NPI | 1427776236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESSA HAYES Authorization Specialist 970-682-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2024-12-06 |