| NPI | 1588102297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R CLAEYS Mgr. 720-375-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH12004) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |