| NPI | 1194066381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY DALE MAY Director 970-215-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 0420311-9) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |