| NPI | 1699038638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANN COOK Advanced Practice Nurse 720-237-3419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO RXS 100004) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |