| NPI | 1457859092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY STROCK Owner 303-720-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-02-29 |