NPI | 1538706122 |
---|---|
Doing Business As | MILE HIGH PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | MICHAEL KEITH CHISM CEO And Psychiatric Director 720-507-4779 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-12-03 |
Last Update Date | 2020-04-09 |