| 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 |