| NPI | 1598114381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ROBERT POLISE Resident Physician 719-595-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: CO 0005955) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |