| NPI | 1548569924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS A BROOKS CEO 970-945-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2021-04-01 |