| NPI | 1467963397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZA PEREZ FRIAS Psychiatric Mental Health Np 970-302-1746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN0993018-NP) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-12-07 |