| NPI | 1750694477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS BOLAN President 303-751-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO 1852) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |