NPI | 1972385508 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY WHITE Authorized Official 720-525-5231 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-10-18 |
Last Update Date | 2023-10-18 |