| NPI | 1760762850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAILE BURKHART Dir Of Business Services 720-763-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXP-6204) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |