NPI | 1114180486 |
---|---|
Entity Type | Organization |
Authorized Contact | RENAY MARIE CRAIN Director 719-438-5782 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CO 121733) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2010-11-09 |