| NPI | 1629455407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL J. CASTREJON President/CEO 719-471-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CO 44886) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |