| NPI | 1700257383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM RUSSELL Psychiatric Nurse Practitioner 720-457-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO NP990117) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2016-08-08 |