| NPI | 1780648386 |
|---|---|
| Doing Business As | COLORADO WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | SUE JERNIGAN Owner 303-979-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |