| NPI | 1225309081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICLAR VIZCARRA OSORIO RN Chs 303-239-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-26 |