| NPI | 1720400393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE MICHAELE HAMMER President/Chairman Of The Board 303-903-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO NLC.0012948) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |