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 |