| NPI | 1790842037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE SLOAN Facility Administrator 970-259-9369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0998) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-11-08 |