| NPI | 1154698512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRATIA L MEYER Owner 303-779-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 1661) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |