| NPI | 1275978215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY COUNTS President 720-412-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-06-26 |