NPI | 1033614334 |
---|---|
Doing Business As | TEEN CARE CENTER |
Entity Type | Organization |
Authorized Contact | AMBER HICKERT Practice Administrator 970-249-2421 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
Enumeration Date | 2018-03-28 |
Last Update Date | 2018-03-28 |