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