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 |