| NPI | 1235813197 |
|---|---|
| Doing Business As | COMMUNITY AQUATICS N' OCCUPATIONAL ENGAGEMENT (CANOE) |
| Entity Type | Organization |
| Authorized Contact | HOLLY MARIE ROSS Owner 720-610-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |