| NPI | 1437726882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA ORTIZ CASTILLO Director Of Revenue 303-289-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2026-01-14 |