| NPI | 1114088762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS A BROOKS CEO 970-945-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CO 1020) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-06-09 |