| NPI | 1740073014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNETTE T PACKER Owner 720-577-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |