| NPI | 1215382064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ABEYTA Owner 303-426-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X (Licence: CO 175501) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2022-03-28 |