| NPI | 1588080956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BECKER CEO 970-668-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CO 18L200) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2024-06-13 |