| NPI | 1295515252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA WOODS BORG Chief Operating Officer 970-926-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |