| NPI | 1245995315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEITHA C BURTON Revenue Cycle Manager 719-491-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2024-10-10 |