| NPI | 1811740913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY VIALPANDO Nurse Practitioner 719-502-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |