NPI | 1871123869 |
---|---|
Entity Type | Organization |
Authorized Contact | LEWIS SWARTHOUT Owner 719-465-2975 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-01-19 |
Last Update Date | 2023-12-06 |