| NPI | 1770389736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FASILAT OLASUMBO Nurse Practitioner 720-309-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |