| NPI | 1295924678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S PERILLO Owner 303-530-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 42528420000) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |