| NPI | 1659778652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HASSELL Director Of Operations 970-945-7564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CO DR0048784) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |