| NPI | 1053581835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE MICHELLE BRIGHI Office Manager 970-330-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 5517) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-04-04 |