| NPI | 1972139467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN MICHAEL ZANDER Owner 970-310-4389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |