| NPI | 1609020254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE SLOCUM Doctor/Owner 303-949-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: WY TL #1019) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2010-02-04 |