| NPI | 1174776009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HACKNEY SCATENA Clinic Director 303-444-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 41453) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |