| NPI | 1790004612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARAS KUZIN CEO 720-837-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center Ambulatory Fertility Facility |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| 251B00000X Case Management | |
| 261QD0000X Clinic/Center Dental | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |