| NPI | 1043513724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA AUSTIN Vice President Of Operations 970-237-6339 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2011-03-25 |