| NPI | 1245234525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN G HONEA Chief Executive Director 719-775-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0677) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CO 0677) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2013-06-18 |