| NPI | 1679730287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CONNER Owner 719-636-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CO 3113) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |