| NPI | 1447027776 |
|---|---|
| Doing Business As | MILESTONE PSYCHIATRY PUEBLO |
| Entity Type | Organization |
| Authorized Contact | DANIELLE JOHNS Office Manager 719-465-4819 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |