| NPI | 1629422290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN S MORGENTHALER Executive Director 719-564-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-08-30 |