| NPI | 1225250004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA VICTORIA OLSEN R.N. B.S.N. 970-416-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CO 111417) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |