| NPI | 1568819472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENE MARIE HAMANN Owner, President 719-367-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO APN.0991275-CNM) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2017-02-03 |