NPI | 1548566060 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDY BROOKS Supervisor 303-714-1084 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CO 73952) |
Enumeration Date | 2011-01-31 |
Last Update Date | 2011-01-31 |