| NPI | 1821876491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO RAFAEL ANGLADA CORTES CEO 720-761-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2025-05-22 |