| NPI | 1245600493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE HOTSENPILLER COO 970-323-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2025-03-18 |