| NPI | 1053856922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MAY PETERS Office Manager 970-985-1491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO M.0005831) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |