| NPI | 1811424195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELYN LANIER Executive Director 303-524-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 1041C0700X Social Worker, Clinical | |
| 183500000X Pharmacist | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |