| NPI | 1083274955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BECKER CEO 970-668-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-06-13 |