| NPI | 1538904735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON STONE Owner, Pmhnp 719-581-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2025-01-07 |