NPI | 1780092056 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH LEE WINANS Founder, Executive Director 720-207-5041 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 1720-01) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2014-07-30 |