| NPI | 1225477961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LYNN MASON Owner 719-648-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CO 1686) |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2013-10-01 |