| NPI | 1669246450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN-ELENA EMEGBAGHA Owner 719-888-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2025-10-27 |