| NPI | 1689391906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY N WEIDENBACH Executive Director 720-523-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-01-30 |