| NPI | 1730469966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL RIDLEY President 970-333-3128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO NP10142) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |