| NPI | 1952781601 |
|---|---|
| Other Name | SPRINGBOK HEALTH COLORADO SPRINGS WEST |
| Entity Type | Organization |
| Authorized Contact | MARK JANKELOW Owner 719-251-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO APN.0990467-NP) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2025-06-09 |