| NPI | 1518214345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE ANTONELLI LANDIN Certified Diabetes Educator 970-390-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 09018253) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |