| NPI | 1447495932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M ERIKSON Sole Proprietor 303-877-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 6225) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: CO 6225) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2010-04-02 |