| NPI | 1558737973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SCOTT Owner 720-352-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO MT.0010270) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CO 0001739) |
| 261Q00000X Clinic/Center (Licence: CO 0014865) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |