| NPI | 1023405453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB J SCHOR Owner 303-337-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO 57) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: OR 755) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |