| NPI | 1124393244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA KLEARMAN Owner 970-328-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO 6363) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |