| NPI | 1295240042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEONG S RICHARDSON Registered Nurse/Administrator 720-277-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CO RN0185593) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2018-01-05 |