| NPI | 1144269739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS A BUTTON Owner Operator President 719-269-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-02-14 |