| NPI | 1669989992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LYN LAUKANT Executive Director Of Clinical 303-915-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |