| NPI | 1104085737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JENNIFER LUM Health Care Provider/Owner 970-382-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CO 029664) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |