| NPI | 1215253992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MELISSA JORGENSEN-BLACKBURN President/Owner 303-424-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 9230) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |