| NPI | 1437837093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DOUGLAS BURELLE Owner 720-257-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-11-17 |