| NPI | 1225624547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LURIE Director Of Admin And Finance 303-853-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2025-04-21 |