| NPI | 1740306166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J. PONTARELLI JR. President 303-936-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 267) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |