| NPI | 1558964734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA OLIVIA VILLAGRANA Operations Manager 303-296-1767 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2023-11-30 |