| NPI | 1134863822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FOSTER Medical Director/Co Founder 303-818-8137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-12-13 |