| NPI | 1689067449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA PORTER Owner 720-898-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO CHR.0007258) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |