| NPI | 1285612614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA NEWSOM Director Of Nursing 719-655-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CO 162872) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2020-08-22 |