| NPI | 1811716673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PINKY ROXAS CASTILLO Provider/Owner 720-220-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |