| NPI | 1679162101 |
|---|---|
| Doing Business As | TEPEYAC AT LARADON |
| Entity Type | Organization |
| Authorized Contact | JIM GARCIA Executive Director 303-458-5302 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |