| NPI | 1821847344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRILL MERKULOV Administrator 303-521-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-31 |