| NPI | 1790439156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENE K. JOSEPH CEO 970-298-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |