NPI | 1780395798 |
---|---|
Entity Type | Organization |
Authorized Contact | AUSTIN THOMAS KOPAS Chief Nurse Practitioner 719-629-7723 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-12-09 |
Last Update Date | 2024-06-21 |