| NPI | 1811077753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN D BALERIA Owner 719-226-0659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CO 81050) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-01-27 |