| NPI | 1487014916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYADEVI K SEENICHAMY Owner/Administrator 303-808-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CO 23W266) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |