| NPI | 1215608179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LURIE Director Of Admin And Finance 303-853-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2023-01-24 |