| NPI | 1346586088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE M POLLOCK Owner/ Physician 719-214-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CO 44011) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CO 44011) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2022-07-21 |