| NPI | 1811279136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J JOHNSTON CFO 303-926-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2022-02-24 |