| NPI | 1821355025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LEE WARRINER CEO 719-440-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 119357) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |