| NPI | 1225228216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. DUTTON President/Treasurer 719-384-7346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 1165) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |