NPI | 1467348177 |
---|---|
Doing Business As | EVERGREEN PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | HUSAM SAIFULDEEN SALIH Owner 970-768-4465 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-06-17 |
Last Update Date | 2025-06-17 |