| NPI | 1306960943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LEIGH BARBISH Administrator 719-598-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-07-22 |