| NPI | 1821818832 |
|---|---|
| Doing Business As | COLORADO HOMEDOC |
| Entity Type | Organization |
| Authorized Contact | CHARLES SCOTT KOPEL Cmo 970-391-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |