| NPI | 1659567782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HANENBERG Director Shc 719-262-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CO 102754) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |