| NPI | 1518798206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRAH JEAN CALLAHAN COLLAR Owner 719-301-9369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2026-02-11 |