NPI | 1578244687 |
---|---|
Entity Type | Organization |
Authorized Contact | JOLENE K. JOSEPH CEO 970-298-4755 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-07-31 |
Last Update Date | 2023-07-31 |