NPI | 1609656214 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC REIFF Practice Manager 303-803-5726 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2023-10-02 |
Last Update Date | 2023-10-02 |