| NPI | 1295862480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH U. REYNOLDS Medical Director 719-389-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CO BB5482637) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |