| NPI | 1275530388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SANTISTEVAN President/CEO 303-892-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2023-09-19 |