| NPI | 1043680119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANNE MCGRATH President 719-344-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CO DR0052618) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |