| NPI | 1396188140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA MCGARRY Owner/Manager 970-209-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 167002) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |