| NPI | 1497360838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE SHAHBAHRAMI Owner 970-579-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2024-10-06 |