| NPI | 1689672255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA KENNEDY Chief Financial Officer 719-783-2380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CO 0178) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2018-04-06 |