| NPI | 1891460291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY WERSTEIN Psychiatric Nurse Practitioner 719-232-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2022-05-31 |