| NPI | 1700690252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY WOLFF CFO 970-346-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |