Mile High Psychiatry LLC
NPI #1013655737 in Calabasas, California
Provider Information
- NPI Number
- 1013655737
- Entity Type
- Organization
- Organization Name
- Mile High Psychiatry LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MILE HIGH PSYCHIATRY LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- May 23, 2022
- Last Updated
- May 23, 2022
Practice Location
- Address
- 4500 PARK GRANADA STE 202
- City
- Calabasas
- State
- California
- ZIP Code
- 91302-1666
- Phone
- (720) 507-4779
Authorized Official
- Name
- MICHAEL K CHISM II, PMHNP-BC
- Title
- CEO
- Phone
- (720) 507-4779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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