Organization
INTEGRATIVE MOUNTAIN PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY D DIAMOND APRN, PMHNP-BC (OWNER AND OPERATOR)
(720) 827-6801
Entity
Organization
Contact information
Practice address
#1070 1601 29TH ST., SUITE 1292, BOULDER, CO 80301-1009
(720) 827-6801
Mailing address
#1070 1601 29TH ST., SUITE 1292, BOULDER, CO 80301
(720) 364-8615
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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