NPI | 1528853892 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEY PHILLIPS B Illing & Finance Lead 303-315-6176 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-04-09 |
Last Update Date | 2025-04-09 |