| NPI | 1699488924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLE BAILEY Owner/ Provider 719-988-3843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2024-06-04 |