| NPI | 1346621208 |
|---|---|
| Doing Business As | 2100 BROADWAY SERVICES BUILDING |
| Entity Type | Organization |
| Authorized Contact | PETE J STOLLER CFO 303-312-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CO Co does not require) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2020-08-11 |