NPI | 1578539979 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA CORTEZ COO 720-833-5099 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2006-02-24 |
Last Update Date | 2024-01-22 |