| NPI | 1467909804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN C SHUM President 303-478-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO 0004671) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-11-09 |