| NPI | 1427945120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA N STEWART Executive Director 719-679-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-09-04 |