NPI | 1659141984 |
---|---|
Doing Business As | FIRELIGHT PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | JULIE GRITZ Owner 719-428-1210 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-06-17 |