| NPI | 1790405348 |
|---|---|
| Doing Business As | MILE HIGH PSYCHIATRY LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL K CHISM Owner 303-587-8592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-11-09 |