| NPI | 1114050903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SANTISTEVAN Director Of Finance And Accounting 303-892-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center Public Health, Federal (Licence: CO 0323) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-01-25 |