| NPI | 1801545876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANDERSON COO 970-879-1632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |