| NPI | 1477152411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SIERRA Assistant Administrator 303-407-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |