| NPI | 1215982244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL OTANO OTANO Vice President 303-262-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: FL HCC6377) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |