| NPI | 1639438534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HARLAN Owner/Member 660-998-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO chr-6740) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |