NPI | 1265500631 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIE ORR Medical Director 303-894-0144 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 363LG0600X) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2020-08-22 |