| NPI | 1568964559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MADSEN CFO 720-322-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CO 0323) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2023-01-25 |