| NPI | 1396384087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN S MORGENTHALER Executive Director 719-374-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |