| NPI | 1023543162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GREGORY Recruiter 303-730-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: GA RN167846) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |