| NPI | 1013491208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CORTEZ COO 720-833-5099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2024-01-22 |