| NPI | 1225450745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANE LAI Owner 970-281-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CO 42334) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |