NPI | 1790745800 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN N. WHITE Administrative Director 303-753-6611 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-03-23 |
Last Update Date | 2020-08-22 |