| NPI | 1306008883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS VILLAFAN Vice President Of Operations 719-590-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CO 2007153889) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |