| NPI | 1063239465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LURIE Director Admin And Finance 303-853-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |