| NPI | 1326726704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RENE KLOTZ Clinical Director 970-247-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-17 |