| NPI | 1760342984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LOPEZ CEO 303-339-0420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |