| NPI | 1144649724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LEE HUNTOON Owner 303-665-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CO 88758) |
| Additional Taxonomies | 251S00000X (Licence: CO 3327) |
| 251S00000X (Licence: CO 3791) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-07-15 |