| NPI | 1134421969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY JO LEONARD Co Owner 719-543-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 3296) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 6931) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |