| NPI | 1760081764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET STONEBACK Owner 970-812-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2024-02-12 |