| NPI | 1659751501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JANKELOW CEO/Owner 719-766-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2026-06-12 |