| NPI | 1467910927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANNA SKINNER Psychiatric Nurse Practitioner 719-339-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2022-11-10 |