| NPI | 1518798206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRAH JEAN COLLAR Owner/Pmhnp 719-300-9369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2025-10-08 |