| NPI | 1568018695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEITH CHISM CEO Psychiatric Director 720-507-4779 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2020-04-09 |