| NPI | 1700668183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN QUALLS CEO 970-810-4121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |